Answer to Question 1
B
Sometimes nurses choose to blow the whistle on unsafe or unethical practices occurring in health care situations (Vonfrolio, 2006). There can be professional consequences for these actions and not all states offer whistleblower protection. Advice for nurses who may be considering being a whistleblower includes: 1) avoid being confrontational when discussing the issue with management; exhaust all internal remedies before taking matters out of house; 2) consider reporting your concerns about quality of care to the Joint Commission (not the Institute of Medicine or Robert Wood Johnson Foundation); 3) keep a personal diary of events after the incident is reported; 4) document the incident and keep a copy for yourself; 5) send a typed complaint to the Director of Nursing or anyone in another department with a stake in the case; and 6) seek the support of your colleagues, as nurses should band together to protect patients from unethical, incompetent, or unsafe care.
Answer to Question 2
C
Dossey and Keegan (2009) suggested that nurses can gain insight into their own spirituality by
expressions of creativity. They also suggested that insight into spirituality can be gained by exploring
ways to selves through ritual, rest, and play.
Documenting the health history is a crucial step in providing patient care
Greenstick Only one side of the shaft is broken, and the other is bent (like a greenstick); usually
Building competency in patient centered care
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